Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vivian Sapphira Jackson

Individual provider Physical Therapist · NPI 1285588673

Vivian Sapphira Jackson is a Physical Therapist in Private Practice in Winston Salem, North Carolina. Qualified in 2025, 1 year ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
1
Licensed in
GA, NC
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

1602 S Stratford Rd Ste 130
Winston Salem, NC 27103-2959
Phone: (336) 281-2045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P24685 (NC)
Physical Therapist Taxonomy 225100000X · Licence CP053417T (GA)

Record details

NPI number1285588673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winston Salem